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患者女,57岁。以“双下肢出血点20余天,间断牙龈出血1周”入院。体检:全身散在性出血点。双肺呼吸音清晰,腹软,肝脾肋下未扪及。既往高血压病史10余年。实验室检查:白细胞计数2.28×109/L,中性粒细胞24.6%,淋巴细胞60.1%,血小板计数4.0×109/L。肝肾功能、肿瘤指标(AFP、CEA、CA125、CA199)均未见明显异常。CT检查:平扫脾上极脾门侧示类圆形稍低密度肿块,边缘欠清,增强动脉期肿块轻度强化,延迟期渐进性强化,强化后肿块密度低于正常脾实质,肿块大小4.5 cm×4.3 cm(图1~4)。
Female patient, 57 years old. To “lower extremity bleeding more than 20 days, intermittent bleeding gums 1 week ” admission. Physical examination: systemic scattered bleeding. Breath sounds clear lungs, abdominal soft, liver and spleen ribs palpable. Previous history of hypertension more than 10 years. Laboratory tests: leukocyte count 2.28 × 109 / L, neutrophils 24.6%, lymphocytes 60.1%, platelet count 4.0 × 109 / L. Liver and kidney function, tumor indicators (AFP, CEA, CA125, CA199) showed no significant abnormalities. CT examination: splenic upper splenomegaly on the side of the door showed a class of round slightly lower density of the tumor, the edge of the lack of clear, enhanced arterial period mild enhancement, delayed progressive enhancement, enhanced mass density after the spleen is lower than normal, mass size 4.5 cm × 4.3 cm (Figures 1 to 4).